Chapter 4 Flashcards
Modern generations have dramatic reductions in death rate due to:
Antibiotics Prenatal care Blood transfusions Safe anesthesia Improved hygiene Drugs for inducing labor Prenatal assessments
Parturition
The act or process of giving birth, which happens two weeks before delivery due to rise in estrogen levels that stimulate the cervix to become more flexible
Stage 1 of Childbirth
Dilation of cervix, longest lasting stage at 12-14 hours
Regular and increasing uterine contractions
15-20 minutes at first, then 2-5 minutes later
Lasts until cervix is dilated to 10 cm
Stage 2 of Childbirth
1-2 hours, descent/emergence of baby
Head begins to move through cervix into vaginal canal
Baby emerges completely
Stage 3 of Childbirth
Lasts between 10 min - 1 hour, placenta and remainder of umbilical cord expelled from mother
APGAR Scale
Standard measurement of a newborn’s condition:
Appearance
Pulse
Grimace
Activity
Respiration
Assessed 1 and 5 minutes after birth w/ max score of 10
After 5 minutes, want a 7-10 score indicating the baby is in good-excellent condition
APGAR 5-7 Score
Baby needs help to establish breathing
APGAR <4 Score
Baby needs life-saving treatment
Increasing score to 4 or more w/in 10 minutes has no long-term damage to result
_____% of babies born in the U.S. Score 7-10 in first 5 minutes
98.4%
Brazelton Neonatal Behavioral Assessment
Tests responses to physical and social environment
Identifies strengths/vulnerabilities in neurological functioning
Motor Organization NBAS
Hand to mouth, testing activity level
Reflexes NBAS
Irritability, excitability, able to quiet down after getting upset
Attention and interactive capacity NBAS
General alertness, response to visual/auditory stimuli
CNS Instability NBAS
Tremors/changes in skin color
Low Birth Weight
Born weighing less than 5.5 pounds
Two types: born early and born small
15.5% of all births
Prematurity and low birth weight are the second-leading cause of infant death, after birth defects